We need your help! Credentialing Resource Center wants to know how the financial field is for MSPs in 2013. Please take a moment to complete our brief salary survey. The results of this survey will appear in a future issue of our newsletter Credentialing Resource Center Journal.
For taking part in this survey, we will enter your name into a drawing to win a copy of our latest credentialing book, written by Sally Pelletier, CPMSM, CPCS, Carol Cairns, CPMSM, CPCS, Anne Roberts, CPMSM, CPCS, and Frances Ponsioen, CPMSM, CPCS. Note that your name will not be connected with the information you provide in the survey.
Please enter the following URL into the address bar of your browser to connect to our survey:
I appreciate your time, and look forward to gaining insight into the current state of the medical staff services profession.
Editor, Credentialing Resource Center Blog
The Joint Commission has released a list of the most challenging requirements for 2012, which identifies the top five Joint Commission requirements that were identified as “not compliant” for each type of accredited organization and certified program.
For hospitals, the top requirement identified as not compliant in 2012 was RC.01.01.01, “The hospital maintains complete and accurate medical records for each individual patient.” The non-compliance rate for this requirement was 60%. Other areas of difficulty include maintaining integrity of the means of egress, reducing the risk of infections, and fire safety.
Ambulatory care entities had difficulty complying with the requirement that the organization grants initial, renewed, or revised clinical privileges to individuals to practice independently as permitted by law and by the organization, with 52% of ambulatory care facilities not compliant. Safely storing medications, reducing the risk of infections, and managing risks related to hazardous materials and waste all posed problems in the ambulatory care realm.
How does your organization stack up? How will this information help you moving forward? Leave a comment and let us know!
The April issue of Credentialing Resource Center Journal is now available and can be accessed by Credentialing Resource Center (CRC) members online at CredentialingResourceCenter.com. In this issue, learn about credentialing and privileging during a disaster:
Reacting quickly and effectively is a major part of successfully navigating the chaos that follows a disaster, according to David Bernard, MD, senior vice president and chief medical officer for Beth Israel Medical Center in New York City. During Hurricane Sandy, Bernard’s hospital took on evacuated patients and physicians from NYU Langone Medical Center and began processing applications for privileges as quickly as possible.
The team at Beth Israel developed a safe yet fast-tracked credentialing process to grant temporary privileges to incoming physicians; temporary privileges were then valid for 120 days.
“We used the temporary privilege category and relied a lot on NYU’s profiles in their credentialing system to avoid having to do the whole process from scratch, which takes weeks or months,” says Bernard.
HCPro invites you to join us for two free, live product demonstrations in March. The first, on Tuesday, March 19 at 12:00 p.m. (Eastern) will demonstrate the Physician Profile Reporter, a tool that enables you to generate reliable performance reports that can easily be distributed to medical staff members. The Physician Profile Reporter will help you compile data from multiple sources, measure various dimensions of physician performance using numerous indicators, and set targets for performance that recognize physician excellence as well as opportunities for improvement. The tool can help create a medical staff culture that encourages physicians to accept performance data feedback and use it to improve performance.
The second webcast on Wednesday, March 20 at 12:00 p.m. (Eastern) will demonstrate the Peer Review Case Tracking Database. This database will provide searchable access to case review and rule indicator forms and simplify case tracking and data storage. Designed to save you time and effort, the Peer Review Case Tracking Database automatically generates reports to demonstrate productivity and case outcomes, and provides data about cases screened, submitted, or pending review.
To learn more about the Physician Profile Reporter, please click here.
To learn more about the Peer Review Case Tracking Database, please click here.
Please join Dr. Robert J. Marder, an expert on all aspects of peer review, for Taking Peer Review from Punitive to Positive: Creating a Physician Performance Improvement Culture, a live webcast presentation on Tuesday, March 12, 2013 at 1:00 p.m. (Eastern). This program will define peer review culture and demonstrate the value of a performance improvement-focused culture. Dr. Marder will then advise on the steps you can take to change your physicians’ mindset on the peer review process and improve your organization’s peer review culture. A live Q&A will follow the presentation.
This webcast is great for MSPs, directors of medical staff services, medical staff leaders, department chairs, medical executive committee members, peer review committee members, and quality committee members. HCPro is accredited by the Accreditation Council for Continuing Medical Education, and Dr. Marder’s presentation has been designated for a maximum of 1 AMA PRA Category 1 Credit™ . The program is also pending approval by the National Association Medical Staff Services (NAMSS) for up to 1 continuing education unit.
For more information or to register for the live webcast on March 12, please visit http://www.hcmarketplace.com.
Want to help out your fellow MSPs and learn how other MSPs tackle their credentialing challenges?
Credentialing Resource Center is looking for member-submitted privileging forms, policies, and procedures to share with our subscribers. While we make every effort to keep our Clinical Privilege White Papers up-to-date, sometimes there are new procedures and technologies that we have not been able to address yet. Your forms could aid other organizations in solving their privileging dilemmas, and vice versa!
Whether it’s credentialing criteria for RNFAs or sample bylaws language for delineating medical staff categories, we want to see the forms that have helped your organization address credentialing issues. Examples of these member-submitted forms can be found when you log in at www.credentialingresourcecenter.com.
To share your privileging forms, please email documents, along with a brief explanation of the contents, to Katrina Gravel (firstname.lastname@example.org). Thank you!
Credentialing Resource Center Blog
The Joint Commission has released an R3 Report to provide the rationale and references employed in the development of new requirements; the most recent R3 report relates to patient flow through the emergency department. The Joint commission has revised standards LD.04.03.11 and PC.01.01.01 with an increased focus on the importance of patient flow in hospitals. Most of the revised elements of performance (EP) went into effect on January 1, 2013, though two EPs–LD.04.03.11 EP 6 and EP 9 –will not go into effect until January 1, 2014.
Standard LD.04.03.11 requires an organization to manage the flow of patients throughout the hospital. The EPs for this standard mentioned in the R3 report focus on measuring and setting goals for the components of a the patient flow process and the boarding of patients who come through the emergency department, determining whether goals are achieved, and involving leadership actions to improve patient flow processes when goals are not achieved.
Standard PC.01.01.01 requires the hospital to accept the patient for care, treatment, and services based on its ability to meet the patient’s needs. EP 4 requires hospitals that do not provide psychiatric or substance abuse services primarily to have a written plan for defining the care, treatment, and services or referral process for those patients. EP 24 requires hospitals to provide a safe and monitored location and to conduct assessments and reassessments for patients waiting for care for emotional illness or substance abuse, as well as providing orientation and training for staff in these situations.
Additional Complimentary Session Open for January 2013 Seminar Attendees
TOPIC: Catastrophe Preparedness- Learn critical liability mitigation skills first hand from the firm assisting Hurricane Sandy victim hospitals in New York and New Jersey
Have you already registered for, or are you planning to attend the Greeley Credentialing/Privileging and Medical Staff Leadership seminars in Indian Wells, Calif., January 24-26, 2013? For registered attendees of these live seminars, HCPro and The Greeley Company are pleased to offer a complimentary session titled, “How prepared is your hospital/health system for a catastrophic disaster?” on January 25, 2013.
Russell Phillips & Associates, a team of fire, code compliance, and emergency management experts, recently assisted hospitals in New York and New Jersey in the wake of Hurricane Sandy and will lead this session. You will learn:
- What are hospitals’ key vulnerabilities today?
- How prepared is your leadership team for catastrophe?
- If your infrastructure failed, have you properly pre-planned evacuation?
- What training should clinical leadership, clinicians, and ancillary/support services undergo to minimize the impact of evacuation?
- If another regional hospital fails, is yours prepared to handle an influx of patients?
Please note that all brochures are on one convenient download, with pricing and program descriptions. Click here to download your brochures and register today! Time is running out.
- Medical Executive Committee Institute, January 24-26, 2013
- The Credentialing Solution, January 24-26, 2013
- Peer Review Boot Camp, January 24-25, 2013
- Physician Hospital Integration and Alignment, January 24-26, 2013